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General NPI Number Information
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NPI Number | 1245678747
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Entity Type | Organization
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Legal Business Name | HOPE WELLNESS CENTER, LLC
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Dates
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Enumeration Date | 06/06/2013
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Last Update Date | 04/20/2015
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Provider Practice Location Address
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Address Line | 1800 OAK ST STE C-1
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City | BAKERSFIELD
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State | CA
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Zip | 93301-3061
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Country | US
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Telephone | 661-477-1442
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Fax | 661-885-4258
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Provider Business Mailing Address
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Address Line | 2101 17TH ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301-3704
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Country | US
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Telephone | 661-477-1442
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Fax | 661-885-4258
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MRS. KIMBERLY MURRAY
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Credential | CLT,MT
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Telephone | 661-477-1442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 28192
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License Number State | CA
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